Neck pain due to malocclusion – Medical Case 118A

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SYMPTOMS OF THE PATIENT

The main symptom reported by this patient, a 29-year-old girl, is a constant and very annoying neck pain that, despite many previous attempts, has not been resolved.

CASE PRESENTATION

From the routine gnathological visit, it is immediately clear that the position of the head is not vertical (it is tilted to the right), that the median line of the arches is also diverted to the right, that the bite is slightly open, that the upper left canine is partially included and 46 is missing.

 

Head position at the first visit

Midline deviated to the right

Orthopanoramic

 

TREATMENT

The purpose of therapy is to restore the correct position of the jaw. To do this first it is necessary to have repositioned the partially enclosed canine and closed the bite again.

Therapy should then be concluded with the insertion of the 46 missing.

Start orthodontic treatment

Beginning of MEAW therapy

End of treatment with implant insertion in place 46

The patient at the beginning and end of treatment

With the closure of the bite and the repositioning of the jaw, the patient has also recovered the correct position of the head and no longer has cervical pain.

CONCLUSIONS

In this case it can be seen that an orthognathic therapy on the temporomandibular joint (TMJ), intended to restore its correct functioning, can also influence the patient's posture, successfully contributing to the resolution of pain problems connected to it.

Also on this occasion, the MEAW therapy proved to be particularly effective.

The result proved to be stable over time as shown by the patient interview 7 years after the end of the treatment.

PATIENT INTERVIEW 7 YEARS AFTER THE END OF TREATMENT

...7 YEARS LATER

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